Predictor of death in elderly patients with Covid-19 : a retrospective cohort study at RSUP Prof Dr. I.G.N.G Ngoerah
DOI:
https://doi.org/10.36216/jpd.v8i1.224Keywords:
COVID-19, elderly, death predictors, hospitalizedAbstract
Background: COVID-19 in elderly has poor prognosis as well as patients with comorbidities. However, evidence that showed comorbidities in COVID-19 cause death, regardless of age, has not been obtained
Methods: A retrospective cohort study in patients aged 60 years and over with COVID-19 who were hospitalized in Prof. dr. I. G. N. G. Ngoerah Hospital was conducted by taking data from medical record
Results: The highest proportion of deaths were 130 men and 36 with hypertension comorbidities. Age was not significantly associated with death (p=0.60), male gender was significantly associated with death (p=0.005), smoking had significant effect on death (p=0.047). Based on the symptoms, there was no relationship between death and fever (p = 1.00), cough (p = 0.054), nausea and vomiting (p = 0.s35). However, there is significant relationship with shortness of breath (p = 0.00) and delirium (p = 0.00). Based on previous medical history, there was no significant association between death and diabetes (P=0.78), hypertension (p=0.26), COPD (p=1.0), ischemic stroke (p=0.11), heart disease (p=0.11)), congestive heart disease (p=0.65), kidney disease (0.81), and tumors (p=0.31). High D-dimer levels also were not associated with death (p=0.37). Treatment with antibiotics (p=0.04), anticoagulants (p=0.002) and corticosteroids (p=0.00) were significantly associated with death. The use of antiviral was not significantly associated with death (p=1.00).
Conclusion: Factors associated with the death of elderly patients with COVID-19 were male gender, smoking, treated with antibiotics, anticoagulants and corticosteroids.
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